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2026 NPPES data Rheumatology Physician NPI 1548322266 M.D.
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Doreen Burks, M.D.

Rheumatology Physician in Goleta, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,377 in Rheumatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
590
Medicare Part D claims · 111 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
55%
generic claims · 43% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
9.1/100
▼ 74 pts below national avg 83.5 · Penalty band
Industry payments
$541.74
27 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Doreen Burks, M.D. reported a CMS MIPS final score of 9.1/100 - below the 83.5 national average - and filed 590 Medicare Part D claims in 2024.

9.1/100
MIPS score · -74 vs avg
590
Part D claims, 2024
55%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Doreen Burks, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1548322266), first enumerated 12/16/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 590 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 9.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Industry payment transparency

    $541.74 in reported industry payments (27 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    California statewide board action statistics are published annually — these figures describe aggregate state activity, not Doreen Burks, M.D.'s individual license status. Verify directly with the state medical board.

    Source: MBC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1548322266 · Rheumatology Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1548322266
  • ENUM-LEGACY 2006
  • TAX-MID 6K Rheumatology Physician
  • MIPS-LOW 9.1/100
  • RX-LIGHT 590
  • BOOK-LIGHT 719 in California
  • PHOTO-FINISH Nehemiah Tan · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Doreen Burks, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

9 ≥ 2nd percentile 2% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). This entry sits in this band. 10–20: 3,008 measured providers (1%). Above this entry. 20–30: 3,069 measured providers (1%). Above this entry. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Doreen Burks, M.D. sits

This provider among rheumatology physician peers

Across the 1,970 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Doreen Burks, M.D. writes more Part D claims than 16% of them and scores higher on MIPS quality than 2% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.874.799.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Doreen Burks, M.D., Part D claim volume, percentile in specialty: 16 · MIPS quality, percentile: 2
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one rheumatology physician peer from a representative sample of 60; the gold marker is Doreen Burks, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Doreen Burks, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Doreen Burks, M.D.?

Below national average

NPI registry status

Active

Issued 12/16/2006

NPI 1548322266

Primary specialty

Rheumatology Physician

Mid-sized

6,377 US NPIs in this specialty

Medicare Part D claims

590 71% vs specialty avg

2024 prescription claims

Specialty avg: 2,058

MIPS final score

9.1/100 74.4 pts vs avg

Penalty band band

vs 83.5 national avg

Specialty distribution in California

How Rheumatology Physician compares to other specialties among California providers

California providers
Behavior Technician17.9%Marriage & Family Therapist5.4%Student in an Organized Heal…5.1%Mental Health Counselor3.7%Pharmacist3.4%Clinical Social Worker3.1%Rheumatology Physician0.1%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Doreen Burks, M.D.'s 2023 MIPS final score plotted against the Rheumatology Physician national average

Below national average
MIPS Final Score
9.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%9.1%
MIPS final score (Rheumatology Physician) - 9.1/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

334 S PATTERSON AVE STE 209
Goleta, CA 93111
(805) 681-0077

Provider Details

NPI 1548322266
Specialty Rheumatology Physician
Credentials M.D.
Gender Female
NPI Issued 12/16/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

9.0531
Final Score
Measured-score avg: 83.5
0
Quality
30.177
Cost

Reporting: Individual

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Doreen Burks, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$542

Largest payer

Amgen Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - California MBC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Doreen Burks, M.D.. To verify Doreen Burks, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Doreen Burks, M.D. - brand share 43.0%
Rheumatology Physician average

43% brand-name claims vs 55% generic, on 590 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

590
Total Claims
$1.6M
Total Drug Cost
111
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
989.267
Total Day Supply
28,716
Brand vs Generic
43% brand / 55% generic
Brand Drug Cost
$1.6M
Generic Drug Cost
$23K
Opioid Claims
27 (4.6% rate)

Patient Demographics

Average Patient Age
76.3 years
Avg HCC Risk Score
1.13
Gender Split
83% female / 17% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Doreen Burks, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Prednisone
 87
Methotrexate
Methotrexate Sodium
38
Xeljanz Xr
Tofacitinib Citrate
35
Hydroxychloroquine Sulfate
 34
Celecoxib
 32
Kevzara
Sarilumab
27
Enbrel Sureclick
Etanercept
24
Rinvoq
Upadacitinib
24
Tramadol Hcl
 22
Pregabalin
 19

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Rheumatology Physician in CA → All providers in California → Compare specialties →

Rheumatology Physician Overview

How Doreen Burks, M.D. fits within the Rheumatology Physician landscape nationally.

6,377
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,058
Avg Claims per Provider

Doreen Burks, M.D.'s 590 claims are below the specialty average of 2,058.

Nationwide Rheumatology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Burks, both outside California so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (9.1 here).

Nehemiah Tan 9.1 IL Gina Delgiudice 10 NJ David Lans 10 NY Iqbal Akhter 7.7 IL

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Frederick Font Hollywood, FL Luchi Quinones Laconia, NH Prasanthi Meagher Saint Paul, MN Miriam Cohen Baltimore, MD

Nearby Rheumatology Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Burks.

One of 719 Rheumatology Physician providers enrolled in California, 5 are shown here.

Dr. Thomas Abel
MD
Monte Sereno, CA
Dr. Thomas Adamson
M.D.
San Diego, CA
Dr. Sana Afroz
MD
Moreno Valley, CA
Dr. Atul Agrawal
MD
Antioch, CA
Dr. Bikramjit Ahluwalia
MD
Apple Valley, CA

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Doreen Burks, M.D.'s specialty? ▼
Doreen Burks, M.D. specializes in Rheumatology Physician and practices in Goleta, California. Credentials: M.D..
How much does Doreen Burks, M.D. prescribe under Medicare Part D? ▼
In 2024, Doreen Burks, M.D. wrote 590 Medicare Part D claims totaling $1.6M in drug costs for 111 beneficiaries.
What is Doreen Burks, M.D.'s Medicare quality score? ▼
Doreen Burks, M.D. has a CMS MIPS Final Score of 9.1/100 (Quality: 0, Cost: 30.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Doreen Burks, M.D. located? ▼
Doreen Burks, M.D. is located at 334 S PATTERSON AVE STE 209, Goleta, CA, 93111. Phone: (805) 681-0077.
What is Doreen Burks, M.D.'s NPI number? ▼
Doreen Burks, M.D.'s National Provider Identifier (NPI) is 1548322266, issued on 12/16/2006.
Does Doreen Burks, M.D. prescribe more brand-name or generic drugs? ▼
Doreen Burks, M.D.'s prescribing is 43% brand-name and 55% generic drugs by claim count, with $1.6M in brand drug costs.
Does Doreen Burks, M.D. prescribe opioids? ▼
Yes, Doreen Burks, M.D. had 27 opioid claims in 2024 with an opioid prescribing rate of 4.6%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,377 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,058 Medicare Part D claims per year.
What drugs does Doreen Burks, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Doreen Burks, M.D.'s most frequently prescribed drugs include Prednisone, Methotrexate, Xeljanz Xr. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Doreen Burks, M.D. accept Medicare? ▼
Doreen Burks, M.D. appears in CMS Medicare data with 590 Part D claims and 111 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Doreen Burks, M.D.'s credentials? ▼
Doreen Burks, M.D.'s NPI is 1548322266 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.